1.Treatment of Acute Respiratory Distress Syndrome.
Tuberculosis and Respiratory Diseases 2001;51(1):5-16
No abstract available.
Respiratory Distress Syndrome, Adult*
2.chromosomal study in the congenital anomalies of the pediatric surgery.
Journal of the Korean Surgical Society 1991;40(4):509-520
No abstract available.
3.Angioedema-like facial swelling as a first manifestation of systemic lupus erythematosus.
O Yeong KWON ; Chang Hee SEO ; Sung Taek JUNG ; Dong Ho NAHM ; Hae Sim PARK
Journal of Asthma, Allergy and Clinical Immunology 1998;18(1):90-95
Angioedma is a group of disorders with multifactorial etiology but a similar clinical expression, is characterized by swelling of subcutaneous or submucosal tissue. Systemic lupus erythematosus(SLE) is a chronic multi-systemtic disease characterized by inflammation and tissue damage resulting from deposition of auto-antibodies and immune complex. We experienced a case of angioedema which was the first manifestation of SLE in 24-year-old female patient. She had suffered from severe facial edema and multiple lymphadenopathy for six months and she also had pleural effusion, positive anti-nuclear and anti-DNA antibody test. Marked decrease of C3 and C4 levels was noted with normal antigenic level, and activity of Cl esterase inhibitor. The angioedema was not improved with anti-hitamine agents and instead disappeared with use of corticosteroid and non-steroidal anti-inflammatory drugs. Complement levels normalized after corticosteroid treament. We report a case of SLE which initial manifestation was angioedema.
Angioedema
;
Antigen-Antibody Complex
;
Complement System Proteins
;
Edema
;
Female
;
Humans
;
Inflammation
;
Lupus Erythematosus, Systemic*
;
Lymphatic Diseases
;
Pleural Effusion
;
Young Adult
4.Study of Brain Atrophy in Korean.
O Yoon KWON ; Sun Keun JUNG ; Sung Yoon KIM ; Myoung Ho KIM
Journal of the Korean Neurological Association 1983;1(2):17-20
449 hospital patients with no pathologic brain CT findings, 30 yrs of age or older, were selected for the study of cerebral atrophy during the 30 months, from January 1980 to June 1983, at dept. of internal medicine, Hanyang Univ. hospital & following results were obtained. 1) Thoses in male group, A gradually progressive increase in the degree of cerebral atrophy score in the 3rd, 4th & late 5th decades was followed by a dramatic increase in the late 6th & 7th decades. 2) Those in female group, A gradually progressive increase in the degree of cerebral atrophy.
Atrophy*
;
Brain*
;
Female
;
Humans
;
Internal Medicine
;
Male
5.Study of Brain Atrophy in Korean.
O Yoon KWON ; Sun Keun JUNG ; Sung Yoon KIM ; Myoung Ho KIM
Journal of the Korean Neurological Association 1983;1(2):17-20
449 hospital patients with no pathologic brain CT findings, 30 yrs of age or older, were selected for the study of cerebral atrophy during the 30 months, from January 1980 to June 1983, at dept. of internal medicine, Hanyang Univ. hospital & following results were obtained. 1) Thoses in male group, A gradually progressive increase in the degree of cerebral atrophy score in the 3rd, 4th & late 5th decades was followed by a dramatic increase in the late 6th & 7th decades. 2) Those in female group, A gradually progressive increase in the degree of cerebral atrophy.
Atrophy*
;
Brain*
;
Female
;
Humans
;
Internal Medicine
;
Male
6.Lesional location of intractable hiccups in acute pure lateral medullary infarction
Chan-O Moon ; Sung-Hee Hwang ; Seong Sook Hong ; San Jung ; Seok-Beom Kwon
Neurology Asia 2014;19(4):343-349
Background & Objective: Hiccups is a disabling condition of lateral medullary infarction (LMI).
Unlike other symptoms of LMI, the anatomical lesions of hiccups are not well known. Few studies
have evaluated the relationship between the lesional location of LMI and hiccups. We performed this
study to correlate hiccups and magnetic resonance imaging (MRI)-based lesional location in pure
LMI. Methods: Between January 1997 and February 2013, we identified 24 patients with pure LMI
who presented with hiccups in addition to typical lateral medullary syndrome. Sixty six pure LMI
patients without hiccups were included as a control group. Clinical and radiologic findings were
compared between the two groups. MRI-identified lesions were classified rostrocaudally as rostral,
middle and caudal, and horizontally as typical, ventral, large, lateral and dorsal. Results: The pure
LMI patients with hiccups had significantly more frequent aspiration pneumonia (P = 0.001) and
longer hospital stay (P = 0.03). The patients with hiccups significantly more often had dorsal rather
than ventral lesion at horizontal levels (P = 0.012). But, there were no rostro-caudal differences at
vertical levels (P = 0.162).
Conclusions: We suggest that pure LMI associated with hiccups often locates in the dorsal medulla
at horizontal correlation. This MRI-based comparative study has advanced the understanding of the
neural substrate for hiccups in LMI, and indicates that hiccups become predictable when specific
lesional locations in the lateral medulla are considered.
7.Surgical treatment of nasopharyngeal carcinoma : Infratemporal fossa approach type C.
Won Sang LEE ; Young Myoung CHUN ; Jung Il CHO ; O Hwi KWON
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(4):740-746
No abstract available.
8.Nontuberculous Mycobacterial Lung Disease.
Journal of the Korean Medical Association 2006;49(9):806-816
As the prevalence of tuberculosis declines, the proportion of mycobacterial lung disease due to nontuberculous mycobacteria (NTM) is increasing worldwide. In Korea, M. avium complex and M. abscessus account for most of the pathogens encountered, whilst M. kansasii is a relatively uncommon cause of NTM pulmonary diseases. NTM pulmonary disease is highly complex in terms of its clinical presentation and management. Because its clinical features are indistinguishable from those of pulmonary tuberculosis and NTMs are ubiquitous in the environment, the isolation and identification of causative organisms are mandatory for diagnosis, and some specific diagnostic criteria have been proposed. The treatment of NTM pulmonary disease depends on the infecting species, but decisions concerning the institution of treatment are far from being easy. It requires the use of multiple drugs for 18 to 24 months. Thus, the treatment is expensive, often has significant side effects, and is frequently not curative. Therefore, clinicians should be confident that there is a sufficient clinical evidence to warrant prolonged, multidrug treatment regimens. In all situations, outcomes can be best optimized only when the clinicians, radiologists, and laboratories work cooperatively. The purpose of this article is to review the common presentations, diagnosis and treatment of the NTM that most commonly cause lung disease in Korea.
Diagnosis
;
Korea
;
Lung Diseases*
;
Lung*
;
Mycobacterium avium Complex
;
Nontuberculous Mycobacteria
;
Prevalence
;
Tuberculosis
;
Tuberculosis, Pulmonary
9.The Risk Factors of Pancreatic Fistula after Pancratoduodenectomy.
Ho Young KO ; Dong Eun PARK ; Jung Taek O ; Jung Nam KWON ; Byung Jun SO ; Kwon Mook CHAE
Journal of the Korean Surgical Society 2005;69(2):146-151
PURPOSE: Pancretojejunostomy leakage is the most dreaded complication after a pancratoduodenectomy. However, little is known about what causes the leakage and how to prevent it. The aim of this study was to dentify the risk factors for pancreatic leakage. This paper describes our experience of its management. METHODS: Between Aug. 1996 and Aug. 2003, 75 consecutive patients with periampullary cancer or benign disease received a pancreatoduodenectomy. The patients' clinical characterisitcs, pathological features and surgical findings were retrospectively evaluated. The patients were classified into those with major complication and rhose with no complications and the risk factors were analyzed. Pancreatic leakage, intraabdomnial fluid collection and abscess, intraabdomnial bleeding were categorized as major complications related to a pancreatic fistula. RESULTS: The postoperative mortality and morbidity rate was 2.6% and 36%, respectively. Univariate analysis showed that the pancreatic texture, pathologic diagnoses and comorbidity were significant risk factors for major complications (P= 0.003, 0.045, 0.02). Multivariate analyses revealed that the, pancreatic texture was the only significant risk factor (P=0.003). The preoperative serum albumin level and pancreatic texture were significant risk factors for pancreatic leakage (p=0.03, 0.025) and multivariate analysis showed that the pancreatic texture was also the most significant risk factor. CONCLUSION: Considering that the pancreatic texture is the most significant risk factor for a pancreatic fistula, the technical skill and experience of the surgeon appears to be important for its prevention.
Abscess
;
Comorbidity
;
Diagnosis
;
Hemorrhage
;
Humans
;
Mortality
;
Multivariate Analysis
;
Pancreatic Fistula*
;
Pancreaticoduodenectomy
;
Retrospective Studies
;
Risk Factors*
;
Serum Albumin
10.Clinical Electrophysiological Study on Sick Sinus Syndrome.
Dong Sun HAN ; O Hun KWON ; Eun Suk JUN ; Yong Jung KIM ; Yun Shik CHOI ; Yong Woo LEE
Korean Circulation Journal 1985;15(1):1-12
Nine patients of mean age 47.8 years, with suspected sinus node dysfunction, underwent extensive electrophysiological studies. Sinus bradycardia(6the electrophysiological study, AH and HV intervals were prolonged in 2/9 and 1/9 patients, respectively. Maximal sinus node recovery times were prolonged in 7/9 patients, ranging from 1,330 msec to 12,330msec. Sinoatrial conduction times measured by atrial premature stimulation technique were prolonged in 5/7 patients, ranging from 137msec to 310 msec. And sinoatrial conduction time measured by continuous pacing technique also revealed prolonged value in 4/6 patients ranging from 140 msec to 195 msec. The effective refractory periods, of atrium were prolonged in 6/8 patients (320 msec to 470 msec). The effective and functional refractory periods of AV node were prolonged in 3/8 patients (440 csec to 490 msec) and 4/8 patients (530 msec to 560 msec), respectively. Retrograde VA conduction could be observed in 3/7 patients and ventricular effective refractory periods were normal in 7/7 patients. Atrial flutter was induced in 1/9 patients by electric stimulation during electrophysiological study. Above data suggest that the electrophysiological study is very useful in assessing the sinus node function and other electrophysiological properties in sick sinus syndrome patients and also suggest that the data could be utilized in choosing the proper mode of artificial pacemaker for each patient.
Atrial Flutter
;
Atrioventricular Node
;
Electric Stimulation
;
Humans
;
Pacemaker, Artificial
;
Sick Sinus Syndrome*
;
Sinoatrial Node